Information Collection

Feedback on the Technology and Resource Dissemination Panel (NINDS)

IC 260283 under ICR 202307-0925-002 · OMB 0925-0648.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 Feedback on the Technology and Resource Dissemination Panel (NINDS)	Form and Instruction
1 Survey Feedback on the Technology and Resource Dissemination Panel 51823.pdf	Form and Instruction
Fast Track Template_0925-0648_exp2024_current_U24surveyrevised.docx Template	IC Document
QR Code Tech and Resource Dissem Panel Survey Graphic.pptx QR Code Handout	IC Document

IC Title:

Feedback on the Technology and Resource Dissemination Panel (NINDS)

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	1	Survey	Feedback on the Technology and Resource Dissemination Panel 51823.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template	Fast Track Template_0925-0648_exp2024_current_U24surveyrevised.docx	05/18/2023
QR Code Handout	QR Code Tech and Resource Dissem Panel Survey Graphic.pptx	05/19/2023

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.